Active NPI
Akta Dinesh Shah, MSPT
- Specialist
- Glenview, IL
National Provider Identifier
1154341436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 070-012688
- Practice address
- 3703 W Lake Ave
Suite #200
Glenview, IL 60026-1223 - Phone
- (847) 998-1188
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 070-012688 | IL | Primary |
Addresses
Primary practice location
3703 W Lake Ave
Suite #200
Glenview, IL 60026-1223
Mailing address
3703 W Lake Ave
Suite #200
Glenview, IL 60026-1223
Phone (847) 998-1188
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1618443 | Other | IL | BCBS GROUP NO. |
| 236963283001 | Medicaid | IL | |
| 200573902 | Other | IL | GROUP TAX ID |
| 363396874 | Other | IL | GROUP TAX ID |
| 01634372 | Other | IL | BCBS GROUP NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-012688 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Therapeutics, LTD | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Peak and Balance Centers of America
- Specialist
- Wilmette, IL
- NPI 1558390849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1154341436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 W LAKE AVE",
"address_2": "SUITE #200",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261223",
"telephone_number": "847-998-1188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 W LAKE AVE",
"address_2": "SUITE #200",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261223",
"telephone_number": "847-998-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AKTA",
"middle_name": "DINESH",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "070-012688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NO.",
"identifier": "1618443",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236963283001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID",
"identifier": "200573902",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID",
"identifier": "363396874",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NO.",
"identifier": "01634372",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.